Your search for resulted in 2295 hits

APPCY01 Page 1 of 5 (Edition 04-18) CYBER PROTECTION APPLICATION – SHORT FORM New Renewal NOTICE: SECTION II.B. OF THIS APPLICATION APPLIES TO CLAIMS-MADE COVERAGE. IF SELECTED, THIS COVERAGE

Metals and Plastics Manufacturing Program (MaP) Supplemental Questions Name Insured: _____________________________________________________________________________ Aircraft/Aerospace Products:

Self-Storage Supplemental Application (Please complete this form in addition to the ACORD 125 -Applicant Information Section for EACH LOCATION) (When @SA is shown behind an option, please also

FIREWORKS QUESTIONNAIRE Safehold Sports is a division of Innovation Growth Partners Specialty, LLC 866.904.9742 ● igpspecialty.com PRG 142056 (12-22) ©All rights reserved. Page 1 of 1 Name of

RIDE & DRIVE SUPPLEMENTAL APPLICATION PRG 142066 (12-22) ©All rights reserved. Page 1 of 1 Website address Please describe the Ride & Drive operations in detail (attach schedule): List the

PRG 142067 (12-22) ©All rights reserved. Page 1 of 2 RIDE AND DRIVE EVENT CERTIFICATE QUESTIONNAIRE Named Insured: ______________________________________________________________ Type of Event:

Karting Oval (Open Wheel) PRODUCT LIABILITY SUPPLEMENTAL Use in Conjunction with an ACORD Application PRG 142073 (12-22) ©All rights reserved. Page 1 of 2 I. OPERATIONS Type of Product:

Name of Track andor Event: Event Dates: 1: Mother: Guardian: Guardian-0: Textfield: Father: Mother-0: Guardian-1: Guardian-2: Printed Name of MINOR Participant: DOB:

Hired & Non-Owned Auto Supplemental Application Separate application required for each location To be completed and returned with Commercial Auto ACORD application I. General Information Named

PAGE 1 OF 2©2025 Innovation Growth Partners Specialty, LLC. All rights reserved. | igpspecialty.com | Rev. 09.26.25 Natural Disaster Program Application PERILS TO BE COVERED (earthquake

JVBERi0xLjcNJeLjz9MNCjEzIDAgb2JqDTw8L0xpbmVhcml6ZWQgMS9MIDUyMTYwNC9PIDE2L0UgNTEzNTQ3L04gMS9UIDUyMTI4My9IIFsgNzQ3IDMxN10+

GENERAL COVERAGE FEATURES ■ Available limits $2M/$4M per claim/ annual aggregate ■ Full prior acts available ■ Defense outside available ■ Duty to defend ■ 80/20 hammer/settlement clause ■

Batting Cages Supplemental Questionnaire Separate application required for each location I. General InformationNamed Insured I OBA Facility Address Website I Email II. Batting Cage

1 GAMING SUPPLEMENTAL QUESTIONAIRE Insured Name: 1. Provide description of gaming operation, # of gaming machines, tables etc. ____________________________________________ ___________________

Liquor Liability Application This is a warrantee application for primary or excess liquor liability insurance. All questions must be answered. If the answer to any question is none, state 'none'

Skating Facility Inflatables Supplemental Application Separate application required for each location I. General Information Named Insured I DBA Facility Address Website I Email II.

JVBERi0xLjcNJeLjz9MNCjEzIDAgb2JqDTw8L0xpbmVhcml6ZWQgMS9MIDIzMTYwNy9PIDE2L0UgMjI0MDc5L04gMS9UIDIzMTI4Ny9IIFsgNjE4IDI4NF0+

PROGRAM HIGHLIGHTS ■ Financial strength: A.M. Best A+ (Superior) rated carrier with a Financial Size Category rating of XV ■ Nationwide availability: Coverage in all states ■ Flexibility:

Specialty Underwriting LIVE Event Service Providers Program Event Planners/Producers/Coordinators Features • Take1 is the largest General Agent with stated carrier Underwriting Authority focused

JVBERi0xLjcNJeLjz9MNCjIyIDAgb2JqDTw8L0xpbmVhcml6ZWQgMS9MIDE3NzAwNi9PIDI1L0UgMTY4ODc1L04gMS9UIDE3NjY3NC9IIFsgODc5IDM3MV0+